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Ohio rates for HCPCS L3660

Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $60.86 / $355.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $60.86 / $101.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.51 / $84.98 / $170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.40 / $124.64 / $322.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $63.57 / $151.08
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.31 / $96.31 / $96.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.31 / $124.64 / $168.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.31 / $141.36 / $239.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $144.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $94.21
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $74.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $70.80 / $70.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.80 / $83.60 / $109.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $56.53 / $85.06